MEDICARE: RAAD N RASHAN M D S C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036097425	IL

General Provider Information

NPI Number	:	1295038818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAAD N RASHAN M D S C

Provider Business Mailing Address
First Line	:	4922A S CORNELL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-3084
Country	:	US
Telephone Number	:	773-823-1860
Fax Number	:

Provider Business Practice Location Address
First Line	:	3743 W CHICAGO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60624
Country	:	US
Telephone Number	:	773-823-1860
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RAAD RASHAN
Credential	:	M.D
Telephone Number	:	773-823-1860

Provider Enumeration Date	:	12/21/2010
Last Update Date	:	12/21/2010

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